Overview:
EVA 102 participants will learn about the spaceflight environment, operational space medicine, austere environment medicine, including challenges, principles of triage and assessment, tele-medicine, basic and advanced medical procedural skills, human performance, leadership and psychological resilience. The course will dedicate a special focus to how the spaceflight environment informs drivers for EVA space suits, tools, and operational procedures that could be influenced by medical contingencies where evacuation is not an option. Student teams will address scenarios dealing with contingencies in EVA such as injections, CPR, eye contamination, dislocated joints, hypoxia and contaminated environment, and others. The on-site portion of this class culminates with a 3.5 day on-site lab portion devoted to assessment, triage, treatment, scenarios and skills pertaining to remote environment medicine, particularly the spaceflight environment. Basic and Advanced First Aid certifications and AST 101 are highly recommended as prerequisites to EVA 102.

Course Objectives:
It is anticipated that at the end of this course, participants will:
1. Have gained basic knowledge and understanding of space medicine and physiology, specifically the space environment as it pertains to human health pre-, post- and in-flight.
2. Will have gained an appreciation of extreme environments and their remote and resource-limited nature, and inform resourcefulness and critical thinking.
3. Have gained an appreciation of the design challenges associated with space and EVA environments
4. Have described and presented a novel solution designed to address a threat, procedure or tool related to medical wellness on EVA.
5. Will have gained a basic understanding of, and be able to demonstrate basic competency in skills related to:
a. Austere environment triage, assessment & treatment, and resource management
b. Key procedural skills
c. Supporting technologies (such as remote tele-guidance, ultrasound, virtual reality, 3D printing, etc)
d. Teamwork, resilience, leadership, discipline, situational awareness and professionalism

Curriculum:

Online Seminars (12 hours) = Each 2-hour webinar will consist of a didactic component, self-study; pre-reading as preparation, discussion and a post-webinar evaluation. Every effort will be made to record each webinar. Lectures typically last 45-90min, with time for discussion and Q&A after.
.
Week 1: Course Overview, Introductions, Space Medicine Environment, Physiological Adaptations, Psychology
Week 2: Operational Space Medicine: Preventative Measures, Selection, Nutrition, Quarantine, In-Flight Measures & Countermeasures (Supplies, MedEvac, Meds, CHecS), Post-Landing Operations/Considerations
Week 3: Novel Mission Profiles: Exploration-Class Missions + RIDGE Principles, Commercial Space, Settlement Class (Long-duration considerations, Mars Med ConOps, Medical Probabilities and Preventative Measures, MedEvac, Pre-Hospital Care Models, Commercial Space, Para-astronauts and AstroAccess)
Week 4: MicroG; Surface EVA considerations, environment, hazards, challenges and evolving solutions (LESA)
Week 5: Design Challenges of the Spaceflight Environment, Computational Models for spaceflight, Emerging Technologies for Exploration Class Missions, Medical Overview of Design/Research Project
Week 6: Principles of Austere Environment Medicine I & Overview of Classroom Component
Week 7: Principles of Austere Environment Medicine II
Week 8: Presentations of Design Projects; Q&A

Additional Webinars Available on request, as has been done in previous years.

Design Project: EVA 102 students will work together individually, or in groups, complete a design project designed to address a specific in-flight or EVA challenge, based on what they have learned in class, and other resources. The design project will propose modifications, protocols, tools and/or technologies that will solve a specific medical threat or challenge pertaining to exploration-class missions and/or EVA. Note: alternate proposals may be accepted as long as they pertain to the spaceflight environment – e.g. medical protocol or payload to be tested in another IIAS setting, e.g. parabolic flight. Owing to the complexity of this design project, it is recommended that this class is completed.

On site: 3.5-day classroom component and skills course. Didactic Classroom; Practical Component (30 hours = 3.5 days)

Day 0: Arrival and check-in, introductions, ice-breakers

Days 1-3: Classroom component, skills, workshops, triage, scenarios, debriefs. Weather Dependent: Off-site scenarios.

Day 4: Individual skills assessments, group

NB: The practical component of this class will include a significant outdoor component.
Participants will need to be medically cleared by their physician to take part and should expect to
partake in strenuous physical activity. A suggested gear list will be sent out well in advance of
the course.

Scientific papers:
• Nicogossian A. Medicine and space exploration. Lancet Extrem medicine, 2003 Dec Stewart LH, Trunkey D, Rebagliati Emergency medicine in space. J Emerg Med. 2007 Jan;32(1):45-54
• Komorowski M et al. Fundamentals of Anesthesiology for Spaceflight. J Cardioth Vasc Anest. 2016 Jan
• Jennings RT et al. Medical Qualification of a Commercial Spaceflight Participant : Not Your Average Astronaut. Aviat Space Environ Med 2006 ; 77 :475-484
• Bogomolov VV et al. International Space Station Medical Standards and Certification for Space Flight Participants. Aviat Space Environ Med 2007 ;78 :1162-9
• Jennings RT et al ; The ISS Flight of Richard Garriott : a Template for Medicine and Science Investigation on Future Spaceflight Participant Missions.

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